Dermoscopic Photographs Impact Confidence and Management of Remotely Triaged Skin Lesions.
Dermatol Pract Concept
; 12(3): e2022129, 2022 Jul.
Article
in English
| MEDLINE | ID: covidwho-2164121
ABSTRACT
Introduction:
Improving remote triage is crucial given expansions in tele-dermatology and with limited in-person care during COVID-19. In addition to clinical pictures, dermoscopic images may provide utility for triage.Objectives:
To determine if dermoscopic images enhance confidence, triage accuracy, and triage prioritization for tele-dermatology.Methods:
In this preliminary parallel convergent mixed-methods study, a cohort of dermatologists and residents assessed skin lesions using clinical and dermoscopic images. For each case, participants viewed a clinical image and determined diagnostic category, management, urgency, and decision-making confidence. They subsequently viewed the associated dermoscopy and answered the same questions. A moderated focus group discussion followed to explore perceptions on the role of dermoscopy in tele-dermatology.Results:
Dermoscopy improved recognition of malignancies by 23% and significantly reduced triage urgency measures for non-malignant lesions. Participants endorsed specific utilities of tele-dermoscopy, such as for evaluating pigmented lesions, with limitations including poor image quality.Conclusions:
Dermoscopic images may be useful when remotely triaging skin lesions. Standardized imaging protocols are needed.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Type of study:
Cohort study
/
Experimental Studies
/
Observational study
/
Prognostic study
/
Qualitative research
Language:
English
Journal:
Dermatol Pract Concept
Year:
2022
Document Type:
Article
Affiliation country:
Dpc.1203a129
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